Adaptor with blunt cannula

ABSTRACT

An adaptor comprises a plate having upper and lower surfaces, and oppositely disposed side edges therebetween. A luer mating structure is associated with the plate upper surface. A blunt cannula is associated with the lower surface. The blunt cannula has a proximal portion extending from the plate lower surface and a distal portion extending from the proximal portion to a tip end. A pair of generally flat guide walls extends from the plate side edges to either side of the blunt cannula.

RELATED APPLICATIONS

This application is a divisional of co-pending U.S. application Ser. No.11/687,533 filed Mar. 16, 2007, the disclosure of which is incorporatedherein by reference in its entirety.

FIELD OF THE INVENTION

The present invention relates to blunt cannulas used to adaptors havingblunt cannulas.

DESCRIPTION OF PRIOR ART

Sample sites and injections sites typically comprise a plastic housingwith one or more ports for fluid ingress or egress relative to theinterior cavity of the housing. The housing also typically has acylindrical portion defining a large aperture adjacent the cavity butwhich is closed off by a solid septum. A sharp needle may be insertedthrough the material of the septum to bring the distal opening of theneedle at the sharp tip into communication with fluid within the housingto facilitate fluid flow through the lumen of the needle. To reduceneedle-stick risks, the needle is contained within a shroud that isgenerally sized and shaped to prevent fingers from touching the needletip. The shroud fits over the cylindrical portion of the housing as theneedle extends into and through the septum into the cavity. In somearrangements, the shroud may also include slots positioned and sized tofit over the port(s) of the housing, and further may be shaped, such asto define a J-shape, so as to be rotatable relative to the port(s) tolock the shroud to the site.

In an effort to reduce or eliminate needles, the solid septum isreplaced with a slit septum through which a blunt cannula is to beinserted. Typically, the blunt cannula may form part of an adaptorhaving luer mating structure to connect with the luer structure of astandard medical device, such as a syringe by way of example, in orderto fluidly couple into the site cavity via the central lumen of theblunt cannula. The blunt cannula typically has an upper or proximalcircular cross-section cylindrical portion, and a lower or distalportion that tapers to a tip, with the tip defining or including adistal opening for fluid flow relative to the central lumen of the bluntcannula. It has been proposed to control the taper of the distal portionso that it is gradual and uniform between the proximal portion and thetip, which uniform taper is said to reduce insertion forces necessary toinsert the cannula through the slit. Also, the proximal portion isintended to be a cylinder without any significant taper, other thanperhaps a nominal taper due to draft in the molding process, to reducethe tendency for kick back of the cannula (i.e., the septum material andcannula surface interacting in a manner which would urge the cannulaback out of the slit) when the cannula is inserted far enough into theslit to reach the proximal portion of the cannula as is typicallydesired.

There are various drawbacks with these blunt cannulas. By way ofexample, the slit may not seal against the proximal portion of thecannula extending therein, thus creating an area for possible fluidleakage. Further, some of the tip ends of the blunt cannula have beenfound to be quite sharp. While that “sharp” end allows the cannula tomake initial entry into the slit, a shroud is still necessary therewithto prevent finger-touching of the tip as was done with the sharp needlesthese blunt cannula were intended to replace. Alternatively, the tip endor surface of the cannula may be flat and so is desirably blunt ratherthan sharp. But the flat end can impede initial entry of the cannulainto the slit.

SUMMARY OF THE INVENTION

The present invention provides an improved blunt cannula design with auniquely shaped distal portion so as not to require a tip end that iseither essentially sharp or flat while advantageously reducing insertionresistance. In accordance with the principles of the present invention,the distal portion of the blunt cannula presents a rounded tip end orsurface, which may be solid, and a plurality of tapered segments havingdifferent tapers extending between the proximal portion and the tip end.The differently-tapered segments present a non-uniformly tapering distalportion which is believed to provide the advantage of reduced insertionforces, but without the disadvantage of a tip end that is so sharp as tohave need for a protective shroud nor so flat as to impede entry intothe septum slit.

The distal portion advantageously includes at least a conically taperedsegment and a generally arcuately tapered segment. Furtheradvantageously, there are four differently-tapered segments (by typeand/or size). The four segments may alternate between conical andarcuate tapers. A first tapered segment adjacent the proximal portionmay extend with a conical taper, followed by a second tapered segmenthaving a generally arcuate taper with a radius of curvature. A thirdtapered segment may extend with a conical taper, which mayadvantageously be greater than the conical taper of the first taperedsegment, and a fourth tapered segment may lead into the solid, roundedtip and may have a generally arcuate taper with a radius of curvatureless than that of the second segment.

In accordance with a further aspect of the present invention, thecentral lumen of the blunt cannula extends distally through the proximalportion and only partially into the distal portion. Advantageously, thecentral lumen does not extend into the distal portion so far as to reachthe solid, rounded tip end and further advantageously not so far as toreach even the lowermost tapered segment. To that end, some aspect ofthe tapered segment adjacent the tip (or that entire segment andpossibly some aspect of the next, proximally adjacent segment) is solid.The fluid opening(s) of the distal portion coupling to the central lumenpass through one or more of the tapered segments, excluding the solidaspect(s) of the tapered segment. As a result, the fluid path to andfrom the central lumen via the fluid opening(s) advantageously will notextend into or through the tip so as not to interfere with the solid,rounded tip. A groove(s) may extend distally from the fluid opening(s)along some or all of the solid aspect(s) of the tapered segments toward,but not necessarily all the way, to the tip end. The fluid opening(s)may also extend through aspects of the proximal portion of the bluntcannula, particularly the aspect thereof closely adjacent to the distalportion of the blunt cannula.

The present invention may also or alternatively provide an improvedblunt cannula design with a uniquely shaped proximal portion by which toenhance the seal between the septum slit and the blunt cannula duringuse. To that end, and in accordance with the principles of the presentinvention, the proximal portion of the blunt cannula may have anon-circular cross-section instead of a circular cross-section.Advantageously, the proximal portion is not a cylinder. In that regard,the cross-section of the proximal portion, at least along a substantiallength thereof, is generally oval and tapers distally such that themajor diameter of the oval cross-section decreases therealong to mergeinto the first tapered portion of the distal portion. It is believedthat the shape created upon opening of the slit is not circular. Theshaping of the proximal portion to have a generally oval cross-sectionis thus believed to afford a more complete seal between the surfaces ofthe slit and the blunt cannula during use. Yet, while the tapering ofthe major diameter of the proximal portion, along with the non-uniformtaper of the distal portion, results in a blunt cannula that has asignificant taper along substantially its entire length, it is believedthat kickback is not problematic.

The blunt cannula of the present invention may form part of an adaptorto be used with a medical site, for example. In that regard, the medicalsite may be a sample site with oppositely disposed fluid ports extendingfrom a central housing containing the septum to define a T-shape to themedical site. With such a T-shaped construction, fluid flows between theports and across the septum. The central housing may be cylindrical, andsupport the septum at the top thereof adjacent the flow path. Theadaptor has a plate with luer mating structure, such as a male luerlock, associated with one surface thereof and the blunt cannulaextending from the opposite surface thereof with the central lumen ofthe cannula in fluid communication with the luer mating structure.Depending from opposite edges of the plate to either side of the bluntcannula is a pair of oppositely disposed, generally flat guide walls.The guide walls may have lateral edges extending into the area below theintermediate edges of the plate. Advantageously, the cannula may bespaced equidistant from the two guide walls. Further advantageously, theguide walls are spaced apart a distance approximating the diameter ofthe central housing such that the guide walls and housing cooperate toalign the tip of the cannula with the slit of the septum for properinsertion therewith. One or more of the outboard or lateral edges of theguide walls may be provided with a rib aimed toward the blunt cannulaand which further cooperates to align the blunt cannula to the slit.

The flat guide walls may be spaced apart enough to provide a distalmouth that is large enough not to preclude finger touching. The lateraledges of the flat guide walls may extend into the area below theintermediate edges of the plate sufficient to define a gap that conformsto the width of the port(s) so as to reduce the likelihood of rotationof the adaptor relative to the housing with the cannula inserted intothe septum. While the guide walls could be shaped and positioneddifferently to provide a shroud and/or the ability to lock same to thesite, it is not believed necessary to do so with the blunt cannula ofthe present invention and/or the adaptor containing same.

The outboard walls of the housing between the ports of the medical sitecould be generally flat rather than arcuate, such as by thickening theplastic thereat. The generally flat sides of the housing would cooperatewith the generally flat guide walls to further enhance alignment and/orresist rotation. Advantageously, one or more of the lateral edges of theflat side walls of the housing define a groove edge to receive therib(s) of the guide walls therealong to still further enhance alignmentand/or resist rotation.

Where the proximal portion of the blunt cannula has a generallyoval-cross-section, the cannula is advantageously inserted into the slitwith the major diameter of the generally oval cross-section proximalportion aligned with the slit. To that end, the septum is generallyaffixed to the site housing aperture with the slit in a fixedorientation relative to the flow path between the ports. The bluntcannula and guide walls of the adaptor are fixed in relationship suchthat the major diameter of the proximal portion of the blunt cannulaextends at an orientation thereto corresponding to the orientation ofthe slit of the septum relative to the fluid ports. Advantageously forthe present invention, the slit orientation may be transverse to thatflow path, in which case the blunt cannula is oriented in the adaptorwith the major diameter transverse to the guide walls (i.e., with theminor diameter thereof parallel to the guide walls). The gap(s) betweenthe lateral edges of the guide walls and/or the interaction of therib(s) of the adaptor and the groove edge(s) of the site housing resistrotation of the blunt cannula aligned into the slit.

By virtue of the foregoing, there is thus provided an improved bluntcannula design with a uniquely shaped distal portion so as not torequire a tip that is either essentially sharp or flat whileadvantageously reducing insertion resistance. There is thus alsoprovided an improved blunt cannula design with a uniquely shapedproximal portion by which to enhance the seal between the septum slitand the blunt cannula during use. There is further also provided anadaptor with the improved blunt cannula design(s) for use in accessingthe slit septum of medical sites. There is still further provided amedical site configured to advantageously mate with the adaptor. Theseand other objects and advantages of the present invention shall be madeapparent from the accompanying drawings and the description thereof.

BRIEF DESCRIPTION OF THE DRAWINGS

The accompanying drawings, which are incorporated in and constitute apart of this specification, illustrate embodiments of the invention and,together with the general description of the invention given above andthe detailed description of the embodiments given below, serve toexplain the principles of the present invention.

FIG. 1 is a front elevation view of a blunt cannula in accordance withthe principles of the present invention;

FIG. 2 is a cross-sectional view of the blunt cannula of FIG. 1 takenalong line 2-2;

FIG. 3 is a top or proximal plan view of the blunt cannula taken of FIG.1;

FIG. 4 is a bottom or distal plan elevation view of the blunt cannula ofFIG. 1;

FIGS. 5A and 5B are a partial perspective views of the blunt cannula ofFIG. 1 and a slit septum showing the blunt cannula out of and within theslit, respectively;

FIG. 6 is a side elevation view of an adaptor including the bluntcannula of FIG. 1 in accordance with the principles of the presentinvention;

FIG. 7 is a top plan view of the adaptor of FIG. 6;

FIG. 8 is bottom perspective view of the adaptor of FIG. 6;

FIG. 9 is a perspective view of one embodiment of a sample site for usewith adaptor of FIG. 6 in accordance with the principles of the presentinvention;

FIG. 10 is a cross-sectional view of the sample site of FIG. 9 takenalong line 10-10;

FIG. 11 is a transverse cross-sectional view of the sample site of FIG.9 with the adaptor of FIG. 6 mounted thereon;

FIG. 12 is a perspective view of another embodiment of a sample site foruse with the adaptor of FIG. 1 in accordance with the principles of thepresent invention; and

FIG. 13 is a transverse cross-sectional view of the sample site of FIG.12 with the adaptor of FIG. 6 mounted thereon.

DETAILED DESCRIPTION OF THE DRAWINGS

With reference to FIGS. 1 through 4, there is shown an embodiment of ablunt cannula 10 in accordance with the principles of the presentinvention. Cannula 10 includes a proximal or upper portion 12 and adistal or lower portion 14, the latter terminating in a tip segment 16including a rounded tip end or surface 18. In accordance with one aspectof the present invention, the distal portion 14 is taperednon-uniformly. To that end, distal portion 14 includes a plurality oftapered segments 22, 24, 26, 28 each progressively closer to tip end 18and each having a different taper as will be described hereinafter.First tapered segment 22 is adjacent proximal portion 12, second taperedsegment 24 is adjacent first tapered segment 22, third tapered segment26 is adjacent second tapered segment, and fourth tapered segment 28 isadjacent third tapered segment and tip segment 16 so as to be closer totip end 18 than tapered segments 22, 24, or 26.

Advantageously, the tapered segments 22, 24, 26, 28 alternate betweenconical and arcuate tapers. To that end, first and third taperedsegments 22, 26 have conical tapers and second and fourth taperedsegments 24, 28 have arcuate tapers. The taper of the third taperedsegment 26 is advantageously larger than that of the first taperedsegment 22. By way of example, the taper of the first tapered segment 22may be about 1° while that of the third tapered segment may be about 5°.The arcuate tapers of the second and fourth tapered segments 24 and 28may also differ, with the radius of curvature of the latter smaller thanthat of the former. To that end, the radius of curvature of the secondtapered segment 24 may be about ¼ inch while that of the fourth taperedsegment may be slightly greater than 1/16 inch. The tip segment 16 mayhave a radius of about 1/36 inch to define rounded end 18.

In accordance with a further aspect of the present invention, theproximal portion 12 advantageously has a non-circular cross-section suchas an oval cross section as seen particularly in FIGS. 3, 4, 5A, and 5B.The proximal portion 12 may taper from its upper end 30 and opening 31thereat toward the distal portion 14 such that the major diameter(D_(MAJ)) thereof decreases to facilitate merger of the proximal anddistal portions 12, 14. The minor diameter (D_(MIN)) of the proximalportion 12 may also taper along its length if desired.

A fluid lumen 36 extends centrally from the upper end opening 31 ofcannula 10 through proximal portion 12 and partially into distal portion14, but terminates as at 38 spaced away from tip end 18. Advantageously,lumen 36 extends through the first and second tapered segments 22, 24but only partially into third tapered segment 26, such that the rest 40of tapered segment 26, and all of fourth tapered segment 28 and tipsegment 16 are solid. Fluid communication is established with centrallumen 36 via one or more fluid openings 44 extending through an aspectof proximal portion 12 as at 45 and the portions of first, second andthird tapered segments 22, 24, 26 coextensive with lumen 36, excludingthe solid portion 40 of tapered segment 26 and all of solid taperedsegment 28 and solid tip segment 16, such that the fluid path to andfrom the central lumen 36 via the fluid opening 44 does not extend intoor through tip end 18. As shown in FIG. 4, there may be three fluidopenings 44 circumferentially and equidistantly spaced about cannula 10.Fluid openings 44 each communicate with a respective groove 46 extendingfrom lumen 36 at 38, distally along solid aspect 40 of tapered segment26 and solid segment 28 formed in the solid aspects thereof. Each groove46 may also extend partially along solid tip segment 16, but the grooves46 advantageously do not extend so far into the material of cannula 10as to reach all the way to tip end 18 (as exemplified by the area 48 inFIG. 2).

With reference to FIG. 5A, there is shown a perspective view of theblunt cannula 10 and a septum 50 held by a rigid structure 51 and havinga slit 52. Septum 50 is held in position by structure 51 so as to closeoff an aperture 53 to a fluid path as at 54 below septum 50. Cannula 10is oriented relative to slit 52 such that the major diameter (D_(MAJ))of cannula proximal portion 12 is aligned therewith. In use, bluntcannula is inserted into slit 52 with tip end 18 impacting againstseptum 50 thereat to begin to open slit 52. The distal portion 12 entersinto slit 52 with what is believed to be acceptably low insertion forcesuntil proximal portion 12 resides within slit 52 and fluid opening(s) 44are in the fluid path 54 as seen in FIG. 5B. It is believed that slit 52does not normally open into a circular shape but instead more of a shapecompatible with an oval such that with proximal portion 12 aligned andextending therein as seen in FIG. 5B, an effective seal is achieved withblunt cannula 10 thereat. End 30 may be coupled to or integrally formedwith other structure for fluidic communication with lumen 36 via opening31, such as a male or female luer lock, a syringe end, or other medicalfluid connections.

The tapering of proximal and distal portions 12 and 14 presents asignificant taper along substantially the entire length of cannula 10,but it is believed that with the foregoing arrangement, kickback is notproblematic.

In accordance with yet another aspect of the present invention, theblunt cannula with the non-circular cross-section proximal portion 12and/or the non-uniform tapered distal portion 14 may form part of anadaptor 60 for accessing a medical site 62 (FIG. 9). To that end, and asshown in FIGS. 6 through 8, adaptor 60 includes a plate 64 having anupper surface 66 with which is associated luer mating structure such asa male luer lock 68, and a lower surface 70 with which a blunt cannula,such as cannula 10, is associated. Plate 64 includes oppositely disposededges 72, 74 extending between surfaces 66 and 70 and from which extenda pair of generally flat guide walls 76, 78. Walls 76, 78 are to eitherside of blunt cannula 10 and may extend distally slightly past tip end18, but may be spaced far enough apart to define a distal mouth 80 thatis large enough not to preclude a finger from touching blunt cannula 10,and particularly tip end 18 thereof. Advantageously, walls 76, 68 may bespaced equidistant from cannula 10 such that cannula 10 is in the centerof adaptor 60. Central lumen 36 of cannula 10 fluidically couples intothe luer cavity 82 of male luer lock 68 as at opening 84 coupled toopening 31 of cannula 10 as best shown in FIG. 6.

Guide walls 76, 78 have lateral edges as at 85, one or more of which maybe provided with a rib 86 along a radial of the centerline of cannula 10so as to be aimed toward cannula 10. Further, lateral edges 85 mayextend as at 87 into the area 90 below the intermediate edges 92, 94 ofplate 64, but if they do so extend, may advantageously form a gap 96therebetween.

The adaptor 60 may be used with a medical site such as a sample site 62shown in FIGS. 9, 10, and 11. To that end, sample site 62 has a central,cylindrical and circular cross-section housing 102 with oppositelydisposed ports 104 extending therefrom to define a T-shape to site 62(FIG. 9). Fluid normally flows (as at 54) between ports 104 and throughcavity 106 within housing 102 and may be as shown in U.S. Pat. No.5,221,271. Housing 102 includes an aperture 108 adjacent cavity 106which is closed off by septum 50 with slit 52 thereof in a fixedorientation relative to the path of flow between ports 104, such astangent or perpendicular thereto as shown in FIG. 9. Septum 50 may besecured in aperture 108 by a cap 110 bonded to housing 102 thereat.Adaptor 60 is sized to cooperate with sample site 62. To that end, guidewalls 76, 78 are spaced apart a distance approximating the width ordiameter of central housing 102 transverse to the ports 104 (see FIG.11) so as to fit closely thereover with tip end 18 of cannula 10 aimedat slit 52. Further, cannula 10 may be held in adaptor 60 at a fixedorientation such that the major axis (D_(MAJ)) of proximal portion 12 ofcannula 10 is aligned with slit 52. To that end, the major axis(D_(MAJ)) advantageously extends transversely between guide walls 76 and78. The rib(s) 86 also help to align cannula 10 with slit 52. The gap(s)96 are sized to receive a respective port 104 therethrough so as not toimpede insertion of cannula 10 into septum 50, while also advantageouslyreducing the likelihood of rotation of adaptor 60 relative to housing102.

Housing 102 may be supported on struts 120 which extend and are coupledto outboard support walls 122, each having an elongated flat portion 124and lateral arcuate edges 126, the latter being secured to bracket 128.The flat portions 124 each define an inner surface 130 confrontinghousing 102 and an outer surface 136 facing away from housing 102. Oneor more ridges 138 are disposed on the outer surface(s) 136 of flatportion(s) 124 to facilitate gripping site 62. Ridges 138 each extend ina line in the same direction as the elongated flat portion on to whichthey are disposed so as not to form radially inwardly or outwardlycurvatures thereof relative to housing 102.

An alternative sample site 62′ is shown in FIGS. 12 and 13 in which atleast the outboard aspects of housing 102 between ports 104 aregenerally flat side walls 140 such as by thickening the plastic ofhousing 102 thereat. Side walls 140 matingly align with guide walls 76,78 and further resist rotation therebetween (see FIG. 13). In theembodiment of FIG. 12, one or more of the lateral edges 142 of walls 140define a groove edge to receive a respective rib 86 therealong to stillfurther enhance alignment and/or resist rotation. Alternatively, oradditionally, the adjacent side walls 144 could also be thickened so asto cooperate with walls 140 to define grooves 146 therebetween boundedby groove edges 142 for receiving the rib(s) 86. Also, septum 50 may beheld to housing 102 by swaging the upper end of the housing thereover asat 148.

In use, ports 104 of site 62 typically are connected to tubing such asin a closed blood sampling system. The cavity 106 of site 62 may beaccessed by blunt cannula 10 to withdraw fluid from cavity 106. To thatend, a syringe (not shown) may be coupled to luer connector 68 andadaptor 60 is positioned with guide walls 76, 78 to either side ofhousing 102 and ports 104 aligned with gaps 96. The user (not shown) maygrip site 62 by support walls 122 and push adaptor 60 down over housing102 to insert cannula 10, tip end 18 first, into slit 52 with the majordiameter (D_(MAJ)) of proximal portion 12 aligned with slit 52. Theadaptor 60 may be pushed into place until the guide walls 76, 78 hitsagainst struts 120 whereat portion 12 extends into slit 52 and distalportion 14 is in the cavity 106 so as to communicate with fluid path 54extending therein as seen in FIG. 11 (or FIG. 13 when used with site62′). Septum 50 seals to cannula 10 for withdrawal of fluid into lumen36 (or expulsion of fluid from lumen 36 were adaptor 60 or blunt cannula10 coupled to an injection site such as a heparin lock (not shown)). Theresiliency of the elastomeric material of septum 50 about cannula 10holds adaptor 60 in place without the need for locking structure,although such could be added or included if desired. After use, adaptor60 is pulled off from site 62 whereupon slit 52 closes to maintain theclosure of aperture 108.

While the present invention has been illustrated by the description ofembodiments thereof, and while the embodiments have been described inconsiderable detail, it is not intended to restrict or in any way limitthe scope of the appended claims to such detail. Additional advantagesand modifications will readily appear to those skilled in the art. Theinvention in its broader aspects is, therefore, not limited to thespecific details, representative apparatus and method, and illustrativeexamples shown and described. Accordingly, departures may be made fromsuch details without departing from the spirit or scope of the generalinventive concept.

Having described the invention, what is claimed is:

1. An adaptor comprising: a plate having upper and lower surfaces, andoppositely disposed side edges therebetween; luer mating structureassociated with the plate upper surface; a blunt cannula associated withthe lower surface, the blunt cannula having a proximal portion extendingfrom the plate lower surface and a distal portion extending from theproximal portion to a tip end; and a pair of generally flat guide wallsextending from the plate side edges to either side of the blunt cannula.2. The adaptor of claim 1, the guide walls having lateral edges andfurther comprising a rib running along at least one of the lateraledges.
 3. The adaptor of claim 1, the rib being aimed at the cannula. 4.The adaptor for claim 1, the plate having intermediate edges between theside edges, at least one of the lateral edges of one of the guide wallsextending into an area below at least one of the intermediate edges. 5.The adaptor of claim 4, at least one of the lateral edges of the otherguide wall extending into the area and defining a gap between thelateral edges.
 6. The adaptor of claim 1, the plate having intermediateedges between the side edges, each guide wall having a pair of lateraledges, at least one of the lateral edges of one of the guide wallsextending into an area below one of the intermediate edges.
 7. Theadaptor of claim 6, at least one of the lateral edges of the other guidewalls extending into the area and defining a gap between the lateraledges.
 8. The adaptor of claim 1, the proximal portion having anon-circular cross section.
 9. The adaptor of claim 8, the proximalportion being an oval cross-section.
 10. The adaptor of claim 1, thedistal portion including a plurality of tapered segments havingdifferent tapers.
 11. The adaptor of claim 1 in combination with amedical site including a slit septum for receiving the blunt cannula ofthe adaptor therethrough.
 12. The combination of claim 11, the medicalsite being a sample site.
 13. The combination of claim 12, the medicalsite having a housing having a flow path with the slit septum bounding aportion of the flow path, a pair of spaced support walls coupled to thehousing and configured such the housing is disposed between the supportwalls to define a gap therebetween, each support wall having anelongated flat portion extending in a direction astride the housing suchthat an inner surface thereof confronts the housing and an outer surfacethereof faces away from the housing, and at least one elongated ridgedisposed on the outer surface of at least one of the support walls forgripping the site, the elongated ridge extending along a line in thesame direction as the flat portion of the support wall.
 14. Thecombination of claim 13, each of the support walls including a pluralityof said elongated ridges.
 15. The combination of claim 11, the medicalsite having a housing having a flow path with the slit septum bounding aportion of the flow path, a pair of spaced support walls coupled to thehousing and configured such the housing is disposed between the supportwalls to define a gap therebetween, each support wall having anelongated flat portion extending in a direction astride the housing suchthat an inner surface thereof confronts the housing and an outer surfacethereof faces away from the housing, and at least one elongated ridgedisposed on the outer surface of at least one of the support walls forgripping the site, the elongated ridge extending along a line in thesame direction as the flat portion of the support wall.
 16. Thecombination of claim 15, each of the support walls including a pluralityof said elongated ridges.